Kerry Carney

After a night of partying at Bearclaw’s, Jess and Cece make their way back to the loft and run into a familiar face. Meanwhile, Coach worries about bringing Nick and Winston around his sophisticated new girlfriend, May.

A young woman clings to life after a brutal attack, leaving the surgical staff optimistic; Meredith puts her career on the line to save a newborn in the hospital nursery.

Cristina, Izzie and Meredith aggressively pursue the case of Shane, a male patient who seems to have a hysterical pregnancy, which fascinates them and the entire medical staff; and a sheltered young patient inspires Alex to better express his feelings for Izzie.

As Meredith nervously awaits a final decision from Derek, her angst is interrupted when a train crash brings several seriously injured patients to the hospital, including Bonnie and Tom, a pair of passengers who've been impaled on a metal pole. And Addison Shepherd sees great potential in Izzie, who must decide whether her loyalty as Meredith's friend outweighs professional gain.

When a series of deaths occur at Seattle Grace, the uncanny events bring out the doctors' superstitious sides and make Izzie nervous about Denny's surgery. Meanwhile, Derek and Addison discuss making a more permanent living arrangement, and Richard treats a very special, old friend.